MEDICARE: REHAB MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1063044295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB MEDICAL, LLC

Provider Business Mailing Address
First Line	:	3750 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3831
Country	:	US
Telephone Number	:	863-204-1320
Fax Number	:	863-595-1441

Provider Business Practice Location Address
First Line	:	2860 LAKE ALFRED RD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1435
Country	:	US
Telephone Number	:	863-595-1440
Fax Number	:	866-699-8201

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN GEARHEART
Credential	:
Telephone Number	:	317-813-4210

Provider Enumeration Date	:	02/05/2020
Last Update Date	:	01/25/2024

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